New doctors linked to unnecessary deaths, especially in July
Tuesday, June 22, 2010
by: S. L. Baker, features writer
(NaturalNews) If you plan on going to a teaching hospital for a test or elective procedure, here's a warning that could save your life: Stay away from the hospital in July. The reason? According to a new study headed by Dr. David Phillips and Gwendolyn Barker from the University of California, San Diego, fatal medication errors soar that month -- especially in teaching hospitals.
（NaturalNews）如果您計劃去一所教學醫院作測試或選修程序，這裡是一個警告可能挽救你的生命：7月時遠離醫院。原因？根據一項由聖地亞哥加州大學大衛菲利普斯博士和格溫德林巴克為首的新研究，致命的治療錯誤在該月份狂升 - 尤其是在教學醫院。
The research team investigated the cause behind the so-called curious "July Effect" that has long been noted to worsen the outcomes of patients being treated in teaching hospitals during the month of July. Phillips and Barker focused on 244,388 U.S. death certificates issued between 1979 and 2006 that listed fatal medication errors as the primary cause of death. Then they compared the number of deaths that occurred in July with the number of expected events in a given month for a given year. Next, they looked to see if there were any differences between deaths in and out of hospitals in July and in counties that had or lacked teaching hospitals.
研究小組調查導致所謂的奇怪“7月效應”後面的原因，那已長期以來受到注意，在教學醫院正在接受治療的病人在7月期間會有惡化結果。菲利普斯和巴克集中在244,388張於 1979年至2006年簽發的死亡證，它們列出致命的治療錯誤作為主要的死因。然後他們比較在7月份發生的死亡人數，和在某年某月的預期事件的數目。接下來，他們看看是否有任何差異，在7月時進出醫院的死亡個案之間，和在有或缺乏教學醫院的縣之間。
The research, which was just published in the Journal of General Internal Medicine, found a clear association between inexperienced physicians and deadly medical errors. Specifically, the spike in hospital deaths each year from medication mistakes (such as accidental overdoses, wrong drugs given, and accidents in the use of drugs during medical and surgical procedures) in July coincided exactly with the annual influx of thousands of rookie doctors who begin their medical residencies and take on responsibility for patient care that month.
研究剛出版在普通內科醫療雜誌，發現一清楚的聯鬃繫，在經驗不足的醫生和致命的醫療錯誤之間。具體來說， 每一年長而尖的醫院死亡來自藥物治療錯誤（例如意外的劑量過量、給錯藥物、及在醫療和手術程序期間使用藥物的意外），在7月準確地碰巧一年一度數千的新秀醫生的湧入，他們開始他們的駐場醫療，並負責在那一個月照顧病人。
This July peak in fatal drug errors was seen only in counties with teaching hospitals. In fact, the greater the concentration of teaching hospitals in a region, the greater the July spike in deaths. This was no little insignificant blip in the number of fatal physician screw-ups, either. The number of July deaths from medication mistakes linked to new doctors was a full 10 percent higher than the expected level.
"Our findings provide fresh evidence for 1. re-evaluating responsibilities assigned to new residents; 2. increasing supervision of new residents; 3. increasing education concerned with medication safety," the authors of the study concluded. "Incorporating these changes might reduce both fatal and non-fatal medication errors and thereby reduce the substantial costs associated with these errors."
http://www.naturalnews.com/029046_doctors_deaths.html
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